Women’s socioeconomic position has a significant effect on health services use. With the nature of the socioeconomic empowerment process in relation to improvements in sexual and reproductive health, population-based contraceptive use is key to determining the growth in the human development index of every country. We looked into the effects of women’s socioeconomic position on modern approaches to birth control in sub-Saharan African (SSA) women of childbearing age. A sample of 496,082 respondents was analyzed from 2006–2021 Demographic and Health Surveys data. From the analysis, Southern SSA (46.0%), Eastern SSA (27.0%), Central SSA (16.0%), and Western SSA (15.0%) have decreasing prevalence of any modern methods of contraceptive uptake among all women. Similarly, Southern SSA (57.0%), Eastern SSA (37.0%), Western SSA (16.0%), and Central SSA (14.0%) have decreasing prevalence of married women currently using any modern methods of contraception. Furthermore, Southern SSA (76.0%), Eastern SSA (56.0%), Western SSA (36.0%), and Central SSA (26.0%) have decreasing prevalence of demand for family planning satisfied by modern contraceptives. While Southern SSA reported a total fertility rate of 3.0%, other sub-regions have a pooled rate of 5.0%. Our results indicated that increasing women’s socioeconomic position can increase contraceptive use and, thus, maternal healthcare service utilization.

Background: Overweight and obesity in adults are on the rise around the world, contributing significantly to noncommunicable disease deaths and disability. Women bear a disproportionate burden of obesity when compared with men, which has a negative impact on their health and the health of their children. The objective of this study was to examine the country-level prevalence of overweight and obesity among women of reproductive age in sub-Saharan countries. Methods: A total of 504,264 women from 2006 to 2021 were examined using cross-sectional Demographic and Health Surveys data. The outcome variables for this study include: (a) women who are overweight according to body mass index (BMI) (25.0–29.9kg/m2); (b) women who are obese according to BMI (≥30.0 kg/m2). Results: Eswatini (28%), Mauritania (27%), South Africa (26%), Gabon, Lesotho and Ghana (25% each) had the highest prevalences of overweight. In addition, obesity prevalence was highest in South Africa (36%), Mauritania (27%), Eswatini (23%), Lesotho (20%), Gabon (19%) and Ghana (15%), respectively. Overweight and obesity were more prevalent among older women, those living in urban areas, women with secondary/higher education and those in the richest household wealth quintiles. Conclusion: The risk factors for overweight and obesity, as well as the role that lifestyle changes play in preventing obesity and the associated health risks, must be made more widely known. In order to identify those who are at risk of obesity, we also recommend that African countries regularly measure their citizens’ biometric characteristics.

A significant public health concern that disproportionately affects women is human immunodeficiency virus (HIV). Prenuptial HIV testing is no doubt a major step for people to learn their HIV status. In this study, the coverage of prenuptial HIV testing and its associated factors were examined among reproductive-aged Rwandese women. This study included a total of 14,634 reproductive-aged Rwandese women using 2019–20 Rwanda Demographic and Health Survey (RDHS). The coverage of prenuptial HIV/AIDS testing and the variables influencing it were evaluated using percentage and multilevel logit model. The level of significance was set at p<0.05. The weighted prevalence of prenuptial HIV/AIDS testing was 45.9% (95%CI: 44.8%-47.1%). The respondents who attained primary and secondary+ education had 31% (OR = 1.31; 95%CI: 1.09–1.59) and 56% (OR = 1.56; 95%CI: 1.25–1.95) higher odds of prenuptial HIV/AIDS testing, when compared with uneducated women. Those who got married or had their first sex at an adult age (18+ years), had higher odds of prenuptial HIV/AIDS testing, when compared with women who got married before age 18 years or never had sex respectively. Women’s age, nativity and region were associated with prenuptial HIV testing. Women with knowledge of HIV test kits, had higher odds of prenuptial HIV/AIDS testing (OR = 1.45; 95%CI: 1.30–1.63), when compared with those with no knowledge of HIV test kits. The respondents from female-headed households had 12% reduction in prenuptial HIV/AIDS testing (OR = 0.88; 95%CI: 0.80–0.97), when compared with their male-headed counterparts. The moderately (OR = 1.16; 95%CI: 1.03–1.31) and highly (OR = 1.55; 95%CI: 1.37–1.75) enlightened women had higher odds of prenuptial HIV/AIDS testing, when compared with those with low enlightenment. The uptake of prenuptial HIV/AIDS testing was relatively low among Rwandese women. We recommend improving women’s education, enlightenment, delay in sexual debut, marriage at adult age (18years) and increasing knowledge about HIV testing among women.